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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2014, Number 2

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Rev Esp Med Quir 2014; 19 (2)

Hemocholecyst secondary to chronic cholecystitis: a case report

García LDJ, Venegas EAI, Ramírez GS, Evaristo MG

Language: Spanish
References: 12
Page: 181-184
PDF size: 514.41 Kb.


ABSTRACT

Background: hemocholecyst is the presence of blood within the gallbladder. We report a case of a patient with hemocholecyst probably secondary to chronic cholecystitis.
Clinical case: A 36-year-old female presented abdominal pain in the right subcostal region. The ultrasonographic study reported the presence of intra-vesicular heterogeneous mass and CT scan showed a hyperdense mass. During surgery the gallbladder was found stressed and with many blood clots inside. Histopathology reported cholelithiasis and chronic cholecystitis.
Discussion: hemocholecyst secondary to chronic cholecystitis is rare. The clinical symptoms are nonspecific, whereas ultrasonography and CT-scan findings are inconclusive. Only cholecystectomy can confirm the diagnosis.
Conclusions: among the causes of hemocholecyst the chronic cholecystitis should always be considered. Conservative treatment is not recommended due to the high possibility of vesicular rupture; or is possible that gallbladder neoplasm has similar imaging characteristics to hemocholecyst, and may remain untreated if not diagnosed.


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